Nitin Paul Dhiman, M.D.

Key facts

NPI

1992012637

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

71356 (AZ)

Practice address

21001 N Tatum Blvd
Phoenix, AZ 85050-4206

Phone

(787) 995-1900

NPI assigned

Sep 1, 2010

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Policlinica del Atlantico Corp Emergency Care Clinic/Center · Isabela, PR · NPI 1619074440
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

National Provider Directory

Medicare enrollment (NPD)

No

HHS exclusion list flag

The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2025.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1992012637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504206",
            "telephone_number": "787-995-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504206",
            "telephone_number": "787-995-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6499 S Kings Ranch Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Gold Canyon",
            "state": "AZ",
            "postal_code": "851182920",
            "country_code": "US",
            "telephone_number": "787-995-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHIMAN",
        "first_name": "NITIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-01",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "71356",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18046",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301108842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm.
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm.
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm.
• Himmat Singh Dhillon
• Wandaliz Dhiman
• Guramritpal Singh Dhott
• DHS Automotive Group Inc
• DHT Hand Therapy Limited Partnership
• DHT Hand Therapy Limited Partnership

All providers in Phoenix, AZ · Internal Medicine Physician in Arizona